Field Reimbursement Leader — Healthcare Access & PA Expert

McKesson; Connecticut; Remote; USD 92,000 - 154,000; Full time

Job summary

McKesson is seeking a Field Reimbursement Manager (FRM) to support reimbursement and patient services across a territory. The role involves educating offices on benefit investigation, prior authorization, and related processes while engaging providers and manufacturers to deliver tailored services.

The FRM will travel up to 80% and requires Medicare/commercial coverage experience, strong presentation skills, and the ability to manage multiple priorities in a fast-paced environment.

Qualifications

• 4-year degree or equivalent experience.
• 4+ years healthcare reimbursement experience.
• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
• Experience in insurance verification, prior authorizations, and/or claim adjudication.
• Must have Medicare and commercial insurance coverage experience.
• Must be able to deliver and document benefit investigation outcomes and relay status reports regularly.
• Proven presentation skills and experience.
• Proven ability to handle multiple priorities and strong organizational skills.
• Strong computer literacy to include PowerPoint and Web Meeting.

Responsibilities

• Provide on-site and on-demand education for the office staff on reimbursement challenges and available support services.
• Educate on Benefit Investigation, Prior Authorization, and Medicare/Commercial coverage; report topics monthly and quarterly.
• Assist in case management, billing/coding updates, claims submission, and related tasks; collaborate with case manager.
• Set up appointments and conduct outbound calls to targeted offices; manage backlog casework.
• Monitor program performance for physicians and manufacturer reps via CRM dashboards; identify trends.
• Research provider/manufacturer data for reimbursement database and build facility profiles in CRM.

Skills

Presentation skills

Interpersonal skills

Organizational skills

PowerPoint

Education

4-year degree or equivalent

Tools

PowerPoint

Web Meeting

Job description

McKesson is seeking a Field Reimbursement Manager (FRM) to support reimbursement and patient services across a territory. The role involves educating offices on benefit investigation, prior authorization, and related processes while engaging providers and manufacturers to deliver tailored services.

The FRM will travel up to 80% and requires Medicare/commercial coverage experience, strong presentation skills, and the ability to manage multiple priorities in a fast-paced environment.